| NPI | 1366823635 |
|---|---|
| Former Name | LEAH ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3749-57) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2044-226) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-02-06 |